Provider Demographics
NPI:1851336341
Name:ELBAAGE, THAR YAHYA YASIR (MD)
Entity type:Individual
Prefix:DR
First Name:THAR
Middle Name:YAHYA YASIR
Last Name:ELBAAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THAR
Other - Middle Name:
Other - Last Name:EL BAAGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1840 JOE BATTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0962
Mailing Address - Country:US
Mailing Address - Phone:915-249-4344
Mailing Address - Fax:915-307-2765
Practice Address - Street 1:1840 JOE BATTLE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0962
Practice Address - Country:US
Practice Address - Phone:915-249-4344
Practice Address - Fax:915-307-2765
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-02219207R00000X
ARE-12484207R00000X
MI4301078514207R00000X
FLME119419207R00000X
WI49634207R00000X
NY248240207R00000X, 207RC0200X
VA0101245193207RC0200X
TN53503207RC0200X
MDD67117207R00000X
SC81964207RC0200X
LA327987207RC0200X
GA61063207R00000X
TXQ2762207RC0200X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34897500Medicaid
I03588Medicare UPIN